Individual provider Active NPI

Diane Roberts, MA, CCC-SLP

  • Speech-Language Pathologist
  • Denver, CO
National Provider Identifier
1275824005
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000113 Issued in CO
Practice address
9101 E Kenyon Ave Ste 2600
Denver, CO 80237-1898
Phone
(720) 545-2045
Fax
(303) 955-6660
NPI assigned
Apr 27, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP-3736NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expert Speech & Swallow Therapy, LLC Single Specialty CurrentSince Oct 17, 2019 Accepting new patients
Rodrigo D. Rodriguez PastSince Oct 14, 2020 Accepting new patients

Locations

10730 E Bethany Dr
Ste 330
Aurora, CO 80014
Phone (720) 545-2045

9101 E Kenyon Ave
Ste 2600
Denver, CO 80237
Phone (720) 545-2045

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-3736 NV
Speech-Language Pathologist 235Z00000X
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 0000113 CO Primary

Addresses

Primary practice location

9101 E Kenyon Ave Ste 2600
Denver, CO 80237-1898

Mailing address

9101 E Kenyon Ave Ste 2600
Denver, CO 80237-1898
Phone (720) 545-2045

Other practice location 1

18071 E Dorado Dr
Centennial, CO 80015-5916
Phone (303) 627-5212

Other practice location 2

2250 E Flamingo Rd
Las Vegas, NV 89119-5170
Phone (702) 784-4300

Other identifiers 1

IdentifierTypeStateIssuer
SP-3736OtherNVNEVADA SLP, AUDIOLOGY, HA DISPENSER LICENSING BOARD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Diane@expertspeech.net Direct
CONNECT URL https://secure.simplepractice.com Direct

NPI Registry JSON

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1275824005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 E KENYON AVE STE 2600",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371898",
            "telephone_number": "720-545-2045",
            "fax_number": "303-955-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 E KENYON AVE STE 2600",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371898",
            "telephone_number": "720-545-2045",
            "fax_number": "303-955-6660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18071 E Dorado Dr",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "800155916",
            "country_code": "US",
            "telephone_number": "303-627-5212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 E Flamingo Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891195170",
            "country_code": "US",
            "telephone_number": "702-784-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DIANE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-3736",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0000113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA SLP, AUDIOLOGY, HA DISPENSER LICENSING BOARD",
            "identifier": "SP-3736",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Diane@expertspeech.net",
            "affiliation": "N",
            "endpointDescription": "HIPPA-compliant email through Google Suite",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16757 E Mansfield Cir",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800132830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR that uses encryption for PHI documents",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "10730 E Bethany Dr Ste 330",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800142691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.